MICHELLE RENEE SMYTH

FORT CARSON, CO
NPI1699744680
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171000000X Military Health Care Provider
(Licence: KY  KY-R2835)
Enumeration Date2006-03-14
Last Update Date2007-07-08
Business Address
Mr. MICHELLE RENEE SMYTH OT
1650 COCHRANE CIR
FORT CARSON, CO 80913-4603
Phone number: 719-526-7110
Mailing Address
Mr. MICHELLE RENEE SMYTH OT
3114 CAPSTAN WAY
COLORADO SPRINGS, CO 80906-8513
Phone number: 719-641-7346
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